📄 urokidnnephfu.ascx
字号:
<td height="17" align="center" class="FormInsideTableLeftCell">
<%# DataBinder.Eval(Container.DataItem, "LabDateText") %>
</td>
<td class="FormInsideTableRegCell" align="center">
<%# DataBinder.Eval(Container.DataItem, "LabTest") %>
</td>
<td class="FormInsideTableRegCell" align="center">
<%# DataBinder.Eval(Container.DataItem, "LabResult") %>
</td>
<td class="FormInsideTableRegCell" align="center">
<%# DataBinder.Eval(Container.DataItem, "LabQuality") %>
</td>
</tr>
</ItemTemplate>
</asp:Repeater>
</table></td>
</tr>
</table></td>
</tr>
<tr>
<td class="FormOuterTableRow"><span class="blackBoldText"><img src="../../Images/shim.gif" border="0" width="4" height="0">Imaging</span><span><img src="../../Images/shim.gif" border="0" width="12" height="1">
<input type="checkbox" name="Films Reviewed">
Films Reviewed<img src="../../Images/shim.gif" border="0" width="12" height="1">
<input type="checkbox" name="Compared to Past">
Compared to Past<img src="../../Images/shim.gif" border="0" width="12" height="1">
<input type="checkbox" name="Reviewed with Radiologist">
Reviewed with Radiologist<img src="../../Images/shim.gif" border="0" width="12" height="1">
<input type="checkbox" name="Digitized">
Digitized<br>
</span> <table align="center" border="0" width="650" cellpadding="0" cellspacing="0">
<tr>
<td width="100" height="20" align="center" valign="middle" class="FormInsideTableTopCell">Date</td>
<td width="100" align="center" valign="middle" class="FormInsideTableTopCell">Study</td>
<td width="150" align="center" valign="middle" class="FormInsideTableTopCell">Results</td>
<td width="300" align="center" valign="middle" class="FormInsideTableTopCell">Notes</td>
</tr>
<asp:Repeater ID="images" runat=server>
<ItemTemplate>
<tr>
<td height="25" class="FormInsideTableRegCell" align="center"> <strong><%# DataBinder.Eval(Container.DataItem, "DxDateText") %></strong></td>
<td class="FormInsideTableRegCell"> <strong><%# DataBinder.Eval(Container.DataItem, "DxType") %></strong></td>
<td class="FormInsideTableRegCell"> <strong><%# DataBinder.Eval(Container.DataItem, "DxResult") %></strong></td>
<td class="FormInsideTableRegCell"> <strong><%# DataBinder.Eval(Container.DataItem, "DxNotes") %></strong></td>
</tr>
</ItemTemplate>
</asp:Repeater>
</table></td>
</tr>
<tr>
<td class="FormOuterTableRow"><img src="../../Images/shim.gif" border="0" width="4" height="15"><span class="blackBoldText">Review of Systems</span> <span class="smallGrayText">Clinician Performing Review:
<input type="checkbox" name="NP22" value="Yes">NP
<input type="checkbox" name="PA22" value="Yes">PA
<input type="checkbox" name="Fellow22" value="Yes">Fellow
<input type="checkbox" name="Attending22" value="Yes">Attending</span> <br>
<table align="center" border="0" width="100%" cellpadding="1" cellspacing="0">
<tr>
<td align="center" class="FormInsideTableTopCell"><strong>System</strong></td>
<td align="center" class="FormInsideTableTopCell"><strong>Symptom</strong></td>
<td align="center" class="FormInsideTableTopCell"><strong>Not Present</strong></td>
<td align="center" class="FormInsideTableTopCell"><strong>Present</strong></td>
<td align="center" class="FormInsideTableTopCell"><strong>Disease<br>Related</strong></td>
<td width="50%" align="center" class="FormInsideTableTopCell"><strong>Notes</strong></td>
</tr>
<tr>
<td rowspan="2" align="left" valign="top" class="FormInsideTableLeftCell">Gen</td>
<td align="left" class="FormInsideTableRegCell">Fatigue</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
<td rowspan="2" class="FormInnerRowBottomBorder"> </td>
</tr>
<tr>
<td align="left" class="FormInsideTableRegCell">Fever</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td align="left" valign="top" class="FormInsideTableLeftCell">Skin</td>
<td align="left" class="FormInsideTableRegCell">Wounds</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
<td class="FormInnerRowBottomBorder"> </td>
</tr>
<tr>
<td rowspan="2" align="left" valign="top" class="FormInsideTableLeftCell">Resp</td>
<td align="left" class="FormInsideTableRegCell">Cough</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
<td rowspan="2" class="FormInnerRowBottomBorder"> </td>
</tr>
<tr>
<td align="left" class="FormInsideTableRegCell">Dyspnea</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td rowspan="2" align="left" valign="top" class="FormInsideTableLeftCell">CV</td>
<td align="left" class="FormInsideTableRegCell">LE Edema</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
<td rowspan="2" class="FormInnerRowBottomBorder"> </td>
</tr>
<tr>
<td align="left" class="FormInsideTableRegCell">Chest Pain</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td rowspan="4" align="left" valign="top" class="FormInsideTableLeftCell">GI</td>
<td align="left" class="FormInsideTableRegCell">Dyspepsia</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
<td rowspan="3" class="FormInnerRowBottomBorder"> </td>
</tr>
<tr>
<td align="left" class="FormInsideTableRegCell">Diarrhea</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td align="left" class="FormInsideTableRegCell">Nausea/Vomiting</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td align="left" class="FormInsideTableRegCell">Flank Pain</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
<td rowspan="4" class="FormInnerRowBottomBorder"> </td>
</tr>
<tr>
<td rowspan="3" align="left" valign="top" class="FormInsideTableLeftCell">GU</td>
<td align="left" class="FormInsideTableRegCell">Hematuria</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td align="left" class="FormInsideTableRegCell">Dysuria</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td align="left" class="FormInsideTableRegCell">Frequency</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td rowspan="1" align="left" valign="top" class="FormInsideTableLeftCell">Psych</td>
<td align="left" class="FormInsideTableRegCell">Depression</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
<td rowspan="3" class="FormInnerRowBottomBorder"> </td>
</tr>
<tr>
<td rowspan="2" align="left" valign="top" class="FormInsideTableLeftCell">Neuro</td>
<td align="left" class="FormInsideTableRegCell">Numbness / Tingling</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td align="left" class="FormInsideTableRegCell">Headaches</td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="1"></td>
<td align="center" class="FormInsideTableRegCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"></td>
<td align="center" class="FormInsideTableRegCell"> </td>
</tr>
<tr>
⌨️ 快捷键说明
复制代码
Ctrl + C
搜索代码
Ctrl + F
全屏模式
F11
切换主题
Ctrl + Shift + D
显示快捷键
?
增大字号
Ctrl + =
减小字号
Ctrl + -